Job Posting OPEN
Quality Management and Regional Compliance Officer
We are Hiring!
Catholic
Charities of Chemung/Schuyler is growing and seeking a Quality Management
and Compliance Officer to join our Team.
Catholic Charities’ mission is to support all people in
need and advocate for social justice and human dignity in partnership with the
Diocese of Rochester and the greater community. We envision a
just and compassionate community rooted in love and the dignity of all
people. Our objectives are to address the needs of the community’s most vulnerable
people and to challenge conditions causing poverty and despair.
If
you're looking for an opportunity to express and explore your passion for
helping others, then join a team that truly makes a difference DAILY, in
people's lives. We are looking for empathetic, thoughtful candidates who have
enthusiasm for helping people. We have supportive leadership who invest in our
people and provide opportunities for employees to thrive, grow and learn.
Don't
miss out on being a part of something special!
Position Title: Quality
Management and Compliance Officer
Salary: $26.45-29.00/hour depending on
education and experience.
Schedule: Full-time
Who
are we looking for?
·
Someone who is passionate about making a positive impact in
the community.
· Someone
who values partnership and works well both individually and as a part of a
team.
· Someone
who is empathetic, ethical, and goal orientated.
· Someone
who is a great communicator and has exemplary attention to detail.
Primary
Functions:
The Quality Management and Regional Compliance Officer
(QMRCO) serves as the Regional Compliance Officer to provide development,
oversight and monitoring of the Compliance Program and each Quality Assurance
process. The QMCRO ensures service delivery compliant with applicable rules and
regulations, inclusive of policies and procedures. The QMRCO Reports directly
to the Executive Director and has a direct reporting line to the Chief
Compliance Officer. The QMRCO also has direct lines of communication to the Catholic
Charities Diocesan Director and to the Regional Board of Directors.
Specific Duties:
· Acts as an advocate for and oversees the
compliance program on an agency level.
· Is obligated to serve the best interests of
the Catholic Charities, its clients, and employees.
· Directs, implements and maintains Compliance workplan.
· Disseminate comprehensive resources,
education, and training programs to support compliance and operational policies
and procedures.
· Coordinates oversees onboarding process for
all agency new staff in accordance with operational guidelines and regulatory
requirements.
· Communicate and distribute compliance policies
and procedures to providers and department personnel.
· Provide training in compliance, as well as
focused risk areas to all affected individuals, including annual regional board
training; new board training within 30 days of appointment.
· Obtain and maintain annual Conflict of
Interest statements for all regional Board of Directors members and Executive
Director.
· Participate in all Corporate Compliance
Committee meetings and activities, including the annual Compliance Week and
CCDR virtual Safety Committee.
· Report compliance activities to their regional
Board of Directors as scheduled by the regional Executive Director, at least
annually and as needed.
· Refer issues to and collaborate with the Chief
Compliance Officer, as necessary.
· Respond to issues raised by staff,
departments, and the hotline, conducting investigations and reporting as
appropriate. Retrieve concerns/complaints forms from various sites on routine
basis.
· Identify and address corresponding agency risk
areas and conduct an annual agency Risk Assessment.
· Design and implementation of area-specific
internal auditing and monitoring protocols (manual and/or electronic). Ensure
on-going audits of all records are compliant with Federal, State and local
agencies. Reports written findings of periodic reviews, and notes
patterns/trends and recommendations/plans of corrective action to the Executive
Director and the appropriate agency director.
· In collaboration with the QA Specialist,
assist with conducting, scheduling and record maintenance of agency auditing
processes, including but not limited to program audits and external monitoring
visits.
· Create and work from a regional specific
Annual Compliance Work Plan.
· Present regional Work Plans to the Corporate
Compliance Committee.
· Support a proactive approach toward
investigation and resolving potential compliance issues.
· Independently investigate and act on matters
related to compliance, including the flexibility to design and coordinate
internal investigations (in response to reported problems or suspected
violations) and any corrective action with all departments, providers and sub
providers, agents and if appropriate independent contractors.
· Ensure adherence to US Department of Labor
Occupational Safety and Health Administrations (OSHA) standards by evaluating
monthly OSHA checklist and responsible for implementation of OSHA specific
tasks.
· Conduct quarterly grant audits in
collaboration with agency department directors and finance department.
· Responsible for the implementation/revision of
policy and procedure, and quarterly updates related to the agency’s Emergency
Preparedness Plan, General Safety Manual, Exposure Control Plan, Safety Data
Sheets (SDS) and agency HERO Act.
· Responsible for the oversight of agency
self-disclosure process and participates with NYS Office of Medicaid Inspector
General (OMIG) and participates in and acts as a resource for external audits
as needed, including OMIG audits.
· Preparation and dissemination of client
Protected Health information (PHI) requests within the legal timeframe.
· Aids and acts as a resource to ensure quality
program operations.
· Promote awareness and conformance of all
regulations and standards as they apply to the programs within the agency and
provide interpretive guidelines as necessary.
· Assists in tracking MOU/BAA expiration dates
and renewals, meeting with agency’s Operations Manager quarterly.
· Ensure that all independent contractors
(vendors, billing services) are aware of the requirements of the CCDR
Compliance Plan.
· Acts as manager of and maintains NYS Office of
Mental Health applications: SMS: Security Management System; MHPD – Mental
Health Provider Directory; CAIRS – Child and Adult Integrated Reporting System;
PSYCKES - Psychiatric Services and Clinical Knowledge Enhancement System.
Assisting staff with access and termination of access. NIMRS – New Incident
Management Reporting System: Assisting Quality Assurance Specialist with
incident maintenance and serves as back-up for daily incident checking.
· Maintains the integrity and storage of current
and discharged files following agency document retention policy.
· Conducts, documents, and tracks site
inspections collaborating with the Property Department.
· Represents agency on various external
committees, including Your Health Partners of the Finger Lakes Compliance
Committee; Association for Community Living (ACL) monthly meetings/yearly
conference.
· Serve as the Agency Privacy Officer, and act
as a resourceful leader regarding HIPAA compliance.
· Develop, implement and updates as necessary
agency policies and procedures specific to Corporate
· Compliance, HIPAA privacy, Incident Reporting
and other policies as needed.
· Assists in agency policy creation, revision
and maintenance in a centralized platform and updating program manuals with
revised policies. (electronic and hard copy)
· Generate and maintain reports to the Executive
Director as needed.
· Report on a regular basis to the governing
body through reports to the Executive Director, and report any issues with
Corporate Compliance, HIPAA, or Privacy.
· Participates as a member of the management
team and attends agency committee meetings as assigned in addition to special
projects as requested.
· Attends training seminars, workshops, and
other educational activities to keep abreast of new developments and changes
related to the billing/reimbursement process.
· Other duties as assigned.
Interim Appointment
Whenever it becomes
necessary to create an interim appointment for the Regional Compliance Officer
due to separation, leave of absence or otherwise, the Senior Executive at the
CCDR Division level, in consultation with the CCDR Chief Compliance Officer,
will appoint an interim Chief Regional Compliance Officer.
ADDITIONAL REQUIREMENTS:
· Possess excellent verbal and written
communication skills.
· Ability to multi-task and prioritize duties.
· Willingness to foster agency, department and
program wide cooperation and teamwork through use of positive/constructive
communication techniques.
· Ability to maintain absolute confidentiality
regarding all records reviewed including consumer records, employee records and
billing records.
· Proficiency and experience with PC’s and
Microsoft applications.
· Ability to analyze and interpret data and to
handle problem resolution.
· Possession of a valid NYS Driver’s license and a
driver's record considered acceptable by agency and insurance carrier.
· Continuous use of a reliable, registered, and
insured vehicle.
· Demonstrate commitment to Agency Mission
Statement.
· Working knowledge of community resources and
funding systems external to the agency.
· Background checks may be required per program
regulations.
· Compliance: Adheres to all applicable federal
and state laws and regulations including, but not limited to, those governing
confidentiality, privacy, program, billing, and documentation standards. All
duties must be performed in accordance with CCDR’s corporate compliance and
ethics program.
QUALIFICATIONS:
·
Bachelor’s degree in social work, Psychology, Nursing or
related field.
·
Three years’ experience in human service management with
proven skills in program administration compliance and/or quality assurance
plans.
·
A combination of education and experience may be substituted
at the discretion of the Executive Director.
What you
will get:
We offer a comprehensive benefits package (see below) to our
full-time workforce members who work 30 or more hours per week.
· Salary: $26.45-29.00/hour depending on education and
experience.
· Full-time, M-F
· Paid Time Off: Accrue up to 10 days in the first year, 15
days after 1st Anniversary.
· Holidays: 12 paid holidays
· NY State Paid Sick Leave
· Agency Sick Leave
· Medical Insurance
· Dental Insurance
· Vision Insurance
· Group and Term Life Insurance
· Short-Term Disability
· Long-Term Disability
· Supplemental Insurances
o
Hospital
o
Accident
o
Auto
o
Pet
o
Specified Disease
· Flexible Spending Account
· Legal Plan
· Identity Plan
· Employee Assistance Program
· 403b Retirement Plan, with agency contribution for those that
qualify (subject to agency performance)
· My Better Benefits – provides discounts and savings on
thousands of products and services.
Our hiring process and timeline:
· Applications
will be reviewed regularly until the position is filled.
· Phone
screenings will be conducted with qualified candidates.
· In-person
one-hour interviews will be conducted with candidates who advance after the
phone screening
· In-person
interviews are typically with 2-4 Interviewers
Selected candidate(s) to start ASAP.
***Catholic Charities is committed to leveraging the talent
of a diverse workforce to create great opportunities for our agencies and our
people. EOE/AA Disability/Vet